Telehealth Nurse Salary Calculator

1. Pick hourly rate or annual salary. Type your base pay, your regular hours per week and the weeks you are paid in a year.
2. Add the pay extras that apply to you: shift differential, certification or charge pay and overtime. Every extra comes from your own offer letter or pay stub. Leave a field blank if it does not apply.
3. Read your total annual gross pay, then see where your base rate sits in the BLS wage table for all registered nurses.

What each result tells you:

The presets are examples, not typical wages. The first one is a day-shift triage nurse paid $44.00 an hour for 40 hours a week. That comes to $91,520.00 a year, about the 41st percentile for all registered nurses. BLS publishes no wage figure for telehealth nurses, so the page never shows a telehealth-only number.

A telehealth nurse salary is the gross yearly pay of a registered nurse who cares for patients by phone, video or other remote tools. It is base pay plus any shift differential, certification pay and overtime.

The American Academy of Ambulatory Care Nursing (AAACN) calls telehealth nursing an integral part of ambulatory care nursing. It began when registered nurses took patient calls and triaged callers to the right level of care. Today the work also runs on smartphones, kiosks and web platforms.

The practice facts come from AAACN pages read on 2026-10-02. The job figures come from the BLS Occupational Outlook Handbook. Telehealth nurses hold a registered nurse licence, so BLS counts them under code 29-1141 with all other registered nurses.

This tool is for nurses weighing a remote or call-center role. It is not a pay quote from any employer.

The calculator builds total pay from your base rate and your own extras, then places the base rate alone in the BLS wage distribution for all registered nurses.

1. Convert. An hourly rate is multiplied by regular hours and weeks. A salary is divided by them to get the base rate.
2. Add shift differential. Differential pay = rate per hour x share of hours x paid hours in the year.
3. Add certification or charge pay. Certification or charge pay = rate per hour x paid hours in the year.
4. Add overtime. Overtime rate = (base rate + certification or charge pay + average differential per hour) x multiplier. Overtime pay = overtime hours per week x overtime rate x weeks. On-call standby pay is left out of the overtime rate.
5. Find the band. The base rate is checked against the 10th, 25th, 50th, 75th and 90th percentile wages.
6. Interpolate. W1 and W2 are the two BLS wages around your base rate. P1 and P2 are their percentiles.

The wage table below covers every registered nurse in the country, on site or remote. BLS does not publish a separate row for nurses who work by phone or video.

Source: BLS OEWS, national estimates, May 2025. Read on 2026-10-02.

BLS publishes no wage figure for telehealth nurses. The table above covers all registered nurses in code 29-1141. BLS annual wages equal the hourly wage times 2,080 hours.

A triage nurse works from home for a health system. She earns $45.75 an hour for 40 hours a week. Evening and weekend hours pay $3.00 more, and they make up 40% of her schedule. Her employer adds $1.00 an hour for her ambulatory care certification. She averages 3 overtime hours a week, and her offer lists a $600 yearly home-office stipend. A rival offer is $47.50 an hour.

Her base rate is $1.15 an hour under the median for all registered nurses. Her extras add $16,397.08 a year, so her average pay per hour worked is $49.89. The rival offer lifts base pay by $3,640.00 a year and lands near the 52nd percentile.

Shift Coverage

After-hours work can add a large extra. AAACN lists after-hours services among telehealth settings. BLS notes that nurses in offices that do not give 24-hour care are more likely to work regular business hours. A $3.00 differential on a quarter of a full-time year adds $1,560.00. On every hour it adds $6,240.00.

State

State averages for registered nurses differ widely. The mean annual wage is $150,280 in California and $101,420 nationally. A remote job does not remove that gap. Ask which location sets the pay scale.

The five states with the highest annual mean wage for registered nurses. Source: BLS OEWS, May 2025. Read on 2026-10-02.

Certification

BLS says nurse certification is usually voluntary, though some employers require it. Certification pay is an employer choice. Enter your own figure.

Hourly or Salaried

A salaried nurse is paid the same for a long week. Divide the salary by real hours to see the true rate. The salary to hourly calculator does that in one step.

The Overtime Rate

The Department of Labor states that the regular rate includes shift differentials. The tool follows that rule. It multiplies base rate plus certification pay plus the average differential per hour by your multiplier. Hospitals may also use an 8 and 80 system instead of the 40-hour week, so check which one your employer uses.

Overtime adds to the total but not to the BLS comparison. Use the overtime pay calculator for weeks with mixed rates.

BLS does not compare remote and on-site nurse pay. It publishes one table for all registered nurses and breaks it down by industry and by area, not by where the nurse sits.

Source: BLS OEWS Profiles and the Occupational Outlook Handbook, May 2025 data. Read on 2026-10-02.

The five states with the most registered nurse jobs are California (338,940), Texas (271,380), Florida (229,940), New York (205,810) and Pennsylvania (146,520). Any claim that remote nurses earn a set percent more or less than bedside nurses does not come from BLS.

Leaving the Bedside for a Remote Role

Enter your current base rate and differential first. Then enter the remote offer. Compare the two totals, since a day-shift remote job may drop a night differential you have now.

Checking a Call-Center Offer

Type the offered rate. A base rate of $42.00 an hour is about the 35th percentile for all registered nurses.

Testing a Salaried Offer

Switch to annual salary. A $90,000 salary over 2,080 hours is $43.27 an hour, about the 39th percentile.

Looking at Other Nursing Paths

See the infusion nurse salary calculator for on-call pay, or the flight nurse salary calculator for long-shift overtime.

Planning a Budget

All results are gross pay. The gross vs net income guide explains what comes out before the money reaches you.

1. Treating the Result as a Telehealth Benchmark

The comparison group is all registered nurses. It includes hospital, clinic, school and remote nurses together.

2. Applying the Differential to Every Hour

A differential may cover only some of your shifts. Set the share of hours honestly. At 100% a $3.00 differential adds $6,240.00 a year. At 25% it adds $1,560.00.

3. Folding the Differential into the Base Rate

BLS wages leave out shift differentials. If you type a night rate as base pay, your percentile is overstated.

4. Comparing a Remote Offer with Your Home-State Average

An employer may set pay by its own location, by yours or by a national scale. Check before you judge the offer against a state mean.

5. Counting a Stipend as Hourly Pay

A home-office stipend is a fixed yearly amount. Put it in the other annual pay field, not in the base rate.

The pay arithmetic is exact for the numbers you enter. The percentile is an estimate, and it describes all registered nurses, not telehealth nurses alone.

BLS wages are straight-time gross pay. They exclude overtime pay and shift differentials. The tool therefore compares your base rate only and reports the extras apart.

No official hourly figure exists for telehealth nurses. BLS counts them as registered nurses, whose median wage was $46.90 an hour in May 2025. The lowest 10 percent of all registered nurses earned less than $33.14 and the highest 10 percent earned more than $66.09.

BLS data cannot answer that, because it has no telehealth series. For all registered nurses, the median was $91,230 in ambulatory healthcare services and $100,220 in hospitals. Your own offer may sit above or below either figure.

There is no telehealth-only certification exam today. AAACN states that the Telephone Nursing Practice exam was discontinued in 2007. It encourages telehealth nurses to take the ambulatory care nursing certification exam, which has included more telehealth content since April 2009.

A telehealth nurse assesses patients remotely, sets the urgency of their needs, builds a care plan with them and evaluates the outcome. AAACN says telehealth nurses use clinical algorithms, protocols or guidelines to do this.

No. The percentile depends only on your base hourly rate. BLS does not split registered nurse wages by remote or on-site work, so the same wage table applies to both.

It adds $6,240.00 a year if every one of 2,080 paid hours earns it. If only a quarter of your hours earn it, the differential adds $1,560.00 a year.

California has the highest mean annual wage for registered nurses at $150,280 in May 2025. Hawaii follows at $124,340. These figures cover all registered nurses, not telehealth nurses alone.

Enter the base rate. Put the night or weekend add-on in the differential field. BLS wages exclude shift differentials, so a fair comparison uses the straight-time rate.

No. It shows gross pay before tax and deductions. Take-home pay depends on your filing status, state and benefits, which this tool does not model.

No. Everything is worked out in your browser. The Save button keeps a result on your own device only, and nothing is sent to a server.

• BLS OEWS Profiles, May 2025 national estimates (U.S. Bureau of Labor Statistics. Select 29-1141 Registered Nurses. Read 2026-10-02.)
• BLS Occupational Outlook Handbook: Registered Nurses (U.S. Bureau of Labor Statistics. Duties, settings, schedules, pay by industry and 2025 to 2035 outlook. Read 2026-10-02.)
• AAACN: Telehealth Nursing Practice (American Academy of Ambulatory Care Nursing. What telehealth nurses do and where they practice. Certification status is on its Telehealth Nursing Certification page. Read 2026-10-02.)
• U.S. Department of Labor Fact Sheet 54: The Health Care Industry and Calculating Overtime Pay (Wage and Hour Division. Regular rate, shift differentials and the 8 and 80 system. Read 2026-10-02.)
• BLS technical notes for the May 2025 OEWS estimates (U.S. Bureau of Labor Statistics. Defines the wage: straight-time gross pay, excluding overtime and shift differentials; 2,080-hour year. Read 2026-10-02.)